Assessment of Knowledge, Attitude and Practice of Adult Women Towards Breast Cancerscreening in Addis Ababa, Ethiopia; 2015

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Addis Abeba Universty


Background: Breast cancer has been a worldwide public health problem and it is the most common cancer in women both in the developed and less developed countries. Public and individual awareness can play a vital role in the prevention, early diagnosis and treatment of breast cancer. Objective: To assess the knowledge, attitude and practice of adult women clients (20-49 years of age) towards breast cancer screening in health centers of Addis Ababa, 2015. Methods: A cross-sectional facility based quantitative study complemented by qualitative (in-depth interview) study was conducted on a total of 633 women clients who came to selected health centers for maternal and child health services. Data was collected from January 1stto 30thFebruary, 2015. For quantitative data Epi-Info version 7and SPSS Version 21 were used for data entry and analysis, respectively. Cross tabulation of each independent variable with the dependent variable with their 95% confidence interval was done to see if there was any association between them. Those variables associated at binary logistic regression with a significance level of 0.2 were entered into multiple logistic regression to identify determinants by controlling possible confounding effect. The transcribed and translated qualitative data were imported into an Open Code program and coded, categorized, thematically described and the emerged themes were included in the final thesis report. Results: Overall 53% of women have heard about breast cancer and35.5% knew at least one breast cancer screening method. While among women who were informed of breast cancer, 97% of theme indicated that screening improves chance of survival. Generally among the common screening methods; self-breast examination, clinical-breast examination and mammographic examination were practiced by 24.3%, 7.6% and 3.8% of respondents, respectively. Factors like family history of breast illnesses, income, educational status, general knowledge of breast cancer were highly associated with the knowledge, attitude and practices of breast cancer screening. Socio-cultural factors, lack of attention and facilities patient load were among the dominant factors raised by qualitative interviewee. Conclusion and Recommendation: This study has revealed that self-reported breast cancer screening coverage is low. About two-third of studied women had no information of breast cancer screening methods. There is a need to design and implement awareness creation program on screening for breast cancer. Different print and mass media can be engaged in teaching women to undergo regular breast cancer screening for early identification and intervention.



Assessment of Knowledge, Attitude